NPI | 1275948721 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 095) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4621) |
1041C0700X Social Worker, Clinical (Licence: KS 9049) | |
Enumeration Date | 2014-06-24 |
Last Update Date | 2017-03-29 |