NPI | 1013938539 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: LA 8839LCSW) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1041) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 1178) | |
104100000X Social Worker (Licence: LA 8839) | |
101Y00000X Counselor (Licence: LA 1041LAC) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2010-06-02 |