NPI | 1407493018 |
---|---|
Former Name | BARBARA WARNER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005946A) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001385A) |
Enumeration Date | 2019-12-02 |
Last Update Date | 2024-06-04 |