NPI | 1558688317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P005764) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
104100000X Social Worker | |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
101YM0800X Counselor, Mental Health | |
Enumeration Date | 2010-05-03 |
Last Update Date | 2010-07-04 |