NPI | 1285127530 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05319) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 752) |
1041C0700X Social Worker, Clinical (Licence: CO CSW.09927568) | |
Enumeration Date | 2018-06-12 |
Last Update Date | 2024-03-11 |