NPI | 1336298868 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005396) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 15514) |
101YP2500X Counselor, Professional (Licence: NC C005396) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2018-03-17 |