NPI | 1447538269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW17881) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YM0800X Counselor, Mental Health | |
103K00000X Behavior Analyst | |
104100000X Social Worker | |
251S00000X | |
Enumeration Date | 2011-07-27 |
Last Update Date | 2023-04-14 |