NPI | 1457534265 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: LA 7676) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 1079) |
Enumeration Date | 2007-12-14 |
Last Update Date | 2007-12-14 |