NPI | 1346532728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9471-123) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15586-131) |
104100000X Social Worker | |
Enumeration Date | 2011-05-04 |
Last Update Date | 2022-04-08 |