| NPI | 1821516634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05546) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 00806) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2022032276) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2023-11-14 |