| NPI | 1891233409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L11732) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: TX 105002) | |
| 1041C0700X Social Worker, Clinical (Licence: MS C11129) | |
| 1041C0700X Social Worker, Clinical (Licence: AR 26349-C) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR T-22-2105) | |
| Enumeration Date | 2017-02-02 |
| Last Update Date | 2024-09-17 |