NPI | 1265550909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA A22048) |
101YA0400X Counselor Addiction (Substance Use Disorder) | |
Enumeration Date | 2007-03-27 |
Last Update Date | 2021-10-11 |