NPI | 1154824134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA 11009) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 007920) |
Enumeration Date | 2018-03-15 |
Last Update Date | 2018-03-15 |