| NPI | 1093824294 |
|---|---|
| Former Name | AUDREY L SCOVILLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 006194) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 000729) |
| 104100000X Social Worker (Licence: CT 006194) | |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2025-01-27 |