| NPI | 1922394501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P012894) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23648) |
| 104100000X Social Worker (Licence: NY 083176) | |
| Enumeration Date | 2011-06-22 |
| Last Update Date | 2019-03-26 |