NPI | 1003130139 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13688) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MD AC0218) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2010-03-18 |
Last Update Date | 2018-03-17 |