NPI | 1447431952 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW24718) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000250A) |
1041C0700X Social Worker, Clinical (Licence: IN 34005922A) | |
Enumeration Date | 2007-11-27 |
Last Update Date | 2025-09-03 |