| NPI | 1871854224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI C-02959) |
| 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06179200) | |
| 1041C0700X Social Worker, Clinical (Licence: MI 6801091638) | |
| Enumeration Date | 2012-06-01 |
| Last Update Date | 2024-01-19 |