| NPI | 1972974442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 10209) |
| Enumeration Date | 2015-10-09 |
| Last Update Date | 2022-12-05 |