| NPI | 1801222567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 6473-120) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 1487-132) |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |