NPI | 1295468007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017814) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LCAS-28168) |
Enumeration Date | 2022-07-08 |
Last Update Date | 2022-07-12 |