| NPI | 1871928606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW16933) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 22796) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.015775) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 34007000A) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2020-06-04 |