NPI | 1063419158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 10339) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CAS 3328) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23423) | |
1041C0700X Social Worker, Clinical (Licence: NC C008226) | |
Enumeration Date | 2005-07-05 |
Last Update Date | 2019-02-27 |