| NPI | 1861868002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW18944) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA CADC1363) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904013413) | |
| Enumeration Date | 2015-08-11 |
| Last Update Date | 2024-01-26 |