| NPI | 1568636199 |
|---|---|
| Former Name | TEAL VENICE PEOPLES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006557) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 9516) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 1429) | |
| 104100000X Social Worker (Licence: SC 9764-CP) | |
| 1041C0700X Social Worker, Clinical (Licence: SC 9764-CP) | |
| 251S00000X (Licence: NC 1429) | |
| 251S00000X (Licence: SC 9764-CP) | |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2024-03-17 |