NPI | 1558971242 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 4974) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 20061850) |
Enumeration Date | 2020-08-06 |
Last Update Date | 2020-08-06 |