NPI | 1497092787 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 491) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000297) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6125) | |
Enumeration Date | 2013-01-07 |
Last Update Date | 2013-01-07 |