| NPI | 1871035097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C010930) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 21980) |
| 1041C0700X Social Worker Clinical (Licence: NC P009634) | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2020-11-20 |