| NPI | 1942551908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005545) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 1782) |
| 104100000X Social Worker (Licence: GA MSW005849) | |
| Enumeration Date | 2012-09-30 |
| Last Update Date | 2015-07-09 |