| NPI | 1952850653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: KS 9367) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 561) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 103) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |