| NPI | 1912190885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L12979) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO CACIII 6556) |
| 1041C0700X Social Worker, Clinical (Licence: CO LCSW769) | |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2022-04-02 |