| NPI | 1922408467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: SC 6605) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 44) |
| 104100000X Social Worker (Licence: SC 11108) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2022-10-04 |