NPI | 1073009379 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 172440) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 4582) |
104100000X Social Worker | |
Enumeration Date | 2018-07-10 |
Last Update Date | 2024-01-02 |