| NPI | 1841587326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007757A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker (Licence: IN 33007127A) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 252938) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2018-03-17 |