NPI | 1437380763 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 3840) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
1041C0700X Social Worker, Clinical (Licence: SD 3118) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND 1945) | |
Enumeration Date | 2009-08-04 |
Last Update Date | 2024-03-13 |