NPI | 1235105339 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: RI CSW00940) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA MAC 507524) |
Enumeration Date | 2006-02-27 |
Last Update Date | 2014-04-18 |