| NPI | 1881722882 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 97-114) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WV 06-766) |
| 104100000X Social Worker (Licence: WV AP00940549) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2007-07-08 |