| NPI | 1821042938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C6463) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MS 90-007C) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MS R562483) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MS R562483) | |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-03-05 |