| NPI | 1780006288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS LMSW 2404) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS LCAC 430) |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |