NPI | 1154665032 |
---|---|
Former Name | AMBER ROSE GOLWITZER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 7977) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 10113) |
101YM0800X Counselor, Mental Health (Licence: IA 007540) | |
101YM0800X Counselor, Mental Health (Licence: WI 7977) | |
1041C0700X Social Worker, Clinical (Licence: IA 007540) | |
Enumeration Date | 2012-11-16 |
Last Update Date | 2019-01-28 |