| NPI | 1942637566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 7811-226) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 20538-130) |
| 101YS0200X Counselor, School (Licence: WI 3001026873) | |
| 104100000X Social Worker (Licence: WI 13279-120) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2013-09-27 |
| Last Update Date | 2025-08-26 |