NPI | 1427038728 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: C1559) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AR A-111) |
1041C0700X Social Worker, Clinical (Licence: AR c1559) | |
Enumeration Date | 2006-01-20 |
Last Update Date | 2014-03-28 |