| NPI | 1861714347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006727) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 9592) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2010-02-24 |
| Last Update Date | 2012-02-17 |