NPI | 1093559338 |
---|---|
Former Name | DANA CARMEAN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW23103) |
Additional Taxonomies | 101Y00000X Counselor (Licence: FL SW23103) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL SW23103) | |
101YM0800X Counselor, Mental Health (Licence: FL SW23103) | |
Enumeration Date | 2024-06-21 |
Last Update Date | 2024-06-21 |