NPI | 1427818657 |
---|---|
Former Name | DEBBIE POWELL |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149026550) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
104100000X Social Worker | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2024-03-22 |
Last Update Date | 2024-03-22 |