| NPI | 1972254647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 1041S0200X Social Worker School | |
| Enumeration Date | 2022-01-14 |
| Last Update Date | 2022-01-14 |