NPI | 1598244261 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1285) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24555) |
1041C0700X Social Worker, Clinical (Licence: WY PCSW-807) | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2018-08-13 |
Last Update Date | 2023-11-02 |