NPI | 1275233660 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 01829-T) |
Additional Taxonomies | 104100000X Social Worker (Licence: KS 09177) |
Enumeration Date | 2023-03-06 |
Last Update Date | 2023-03-06 |