NPI | 1528614013 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012371) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ND LCAS-26045) |
Enumeration Date | 2019-08-12 |
Last Update Date | 2024-10-02 |