NPI | 1376080606 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 124221) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE 11058) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101Y00000X Counselor (Licence: NE 7125) | |
1041C0700X Social Worker, Clinical (Licence: MA 222842) | |
Enumeration Date | 2017-01-25 |
Last Update Date | 2023-02-09 |