NPI | 1588375323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: DE Q1-0012159) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: DE 2055) |
Enumeration Date | 2022-12-13 |
Last Update Date | 2023-03-05 |