| NPI | 1982751491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4161) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 290) |
| 104100000X Social Worker (Licence: TX 50079) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2022-01-31 |