NPI | 1255653689 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60483694) |
Additional Taxonomies | 104100000X Social Worker (Licence: NY 079803) |
1041C0700X Social Worker, Clinical (Licence: WA LW60484946) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 20908) | |
1041S0200X Social Worker, School (Licence: WA LW60484946) | |
Enumeration Date | 2010-02-26 |
Last Update Date | 2023-02-10 |