| NPI | 1780879916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1086) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 1137) |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical (Licence: NE 1336) | |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2024-01-24 |