NPI | 1528608734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 24099) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: MD LGA2763) |
Enumeration Date | 2020-01-15 |
Last Update Date | 2020-01-15 |