| NPI | 1780980037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 11148-132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 7670-123) |
| 1041C0700X Social Worker, Clinical (Licence: WI 14517-135) | |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2011-02-03 |