NPI | 1396005005 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: SC 12604) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SC 289) |
Enumeration Date | 2012-05-29 |
Last Update Date | 2020-09-21 |