NPI | 1023071941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CA LCS21001) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 20963) |
1041C0700X Social Worker, Clinical (Licence: IL 149009716) | |
1041C0700X Social Worker, Clinical (Licence: WA LW60059976) | |
Enumeration Date | 2006-04-11 |
Last Update Date | 2017-04-26 |