| NPI | 1861052003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 9998-123) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 20436-130) |
| 104100000X Social Worker (Licence: WI 127655-121) | |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-11-30 |