NPI | 1033126198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 1378-123) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI cert #1344) |
1041C0700X Social Worker, Clinical (Licence: WI 1378) | |
Enumeration Date | 2006-08-02 |
Last Update Date | 2010-12-06 |