| NPI | 1821286105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 9212-120) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15380-131) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |