NPI | 1104193267 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: MD G10661) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD AC0673) |
Enumeration Date | 2011-11-17 |
Last Update Date | 2022-11-14 |