NPI | 1295009421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008347) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710000262) |
1041C0700X Social Worker, Clinical (Licence: MD 16018) | |
Enumeration Date | 2012-03-06 |
Last Update Date | 2024-06-21 |