| NPI | 1841626074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005373) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 11142) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 12141) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 714) | |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2024-03-08 |