NPI | 1396025417 |
---|---|
Former Name | CYNTHIA JO PLOUFF |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: WI 4896-125) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15955130) |
101YM0800X Counselor, Mental Health (Licence: WI 4896-125) | |
Enumeration Date | 2011-08-19 |
Last Update Date | 2013-12-06 |