NPI | 1043587322 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: KS 7988) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 194) |
Enumeration Date | 2011-11-30 |
Last Update Date | 2012-04-06 |