| NPI | 1952608796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 8890-123) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WI 15620-132) |
| 101YM0800X Counselor Mental Health (Licence: WI 3098-125) | |
| 101YP2500X Counselor Professional (Licence: WI 3098-125) | |
| 104100000X Social Worker (Licence: WI 130158-121) | |
| Enumeration Date | 2011-02-14 |
| Last Update Date | 2018-12-10 |