| NPI | 1982253506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 41837) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ID 11736) |
| 104100000X Social Worker (Licence: ID LMSW-38989) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2024-06-03 |