| NPI | 1982029021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE q1-0001622) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE 1394) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2022-05-18 |