NPI | 1407416126 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928363) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-26619) |
1041C0700X Social Worker, Clinical (Licence: VA 0904015676) | |
1041C0700X Social Worker, Clinical (Licence: FL TPSW3180) | |
1041C0700X Social Worker, Clinical (Licence: NC C014597) | |
1041C0700X Social Worker, Clinical (Licence: NC P013578) | |
Enumeration Date | 2019-06-14 |
Last Update Date | 2024-04-24 |