NPI | 1104186543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009073) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-23614) |
1041C0700X Social Worker, Clinical (Licence: OH S.1000706) | |
Enumeration Date | 2012-05-18 |
Last Update Date | 2023-04-13 |