NPI | 1194267807 |
---|---|
Other Name | AMADA TERBERG |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: MI 6801113847) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801100047) |
Enumeration Date | 2016-11-11 |
Last Update Date | 2022-06-16 |