NPI | 1598598948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13598703-3502) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: UT 13598703-6006) |
Enumeration Date | 2024-08-21 |
Last Update Date | 2024-08-21 |