| NPI | 1932649035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C011858) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 3194) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: NC 2862) | |
| 104100000X Social Worker (Licence: NC P011020) | |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2023-11-05 |