NPI | 1255844056 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW006942) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA C0262) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2017-11-15 |
Last Update Date | 2022-05-25 |