| NPI | 1760812200 |
|---|---|
| Former Name | EMILY WARREN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 10552) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2013-11-20 |
| Last Update Date | 2018-07-12 |