| NPI | 1841512100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW 6270) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-012052-2015) |
| 1041C0700X Social Worker, Clinical (Licence: CT 006444) | |
| Enumeration Date | 2010-02-26 |
| Last Update Date | 2021-07-02 |