NPI | 1508881525 |
---|---|
Former Name | BARBARA WOODRUFF BIRGE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX S36271) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 9313) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2009-03-18 |