| NPI | 1831344597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 8471) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 4426) |
| 103K00000X Behavior Analyst (Licence: FL 0-01-0233) | |
| Enumeration Date | 2008-11-22 |
| Last Update Date | 2008-11-22 |