| NPI | 1962630947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 7541-C) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MT 1222) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 5349) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 992828) | |
| 1041C0700X Social Worker, Clinical (Licence: MT 650) | |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2022-04-07 |