NPI | 1457827909 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011141) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0710103315) |
101YM0800X Counselor, Mental Health (Licence: VA 0732000099) | |
Enumeration Date | 2018-10-22 |
Last Update Date | 2024-04-10 |