NPI | 1134507031 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 101YAO400X) |
Additional Taxonomies | 104100000X Social Worker (Licence: SC 10789) |
Enumeration Date | 2015-05-12 |
Last Update Date | 2015-05-12 |