NPI | 1457968794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD CSW5137) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD CSW5137) |
Enumeration Date | 2020-09-30 |
Last Update Date | 2022-03-10 |