NPI | 1609468024 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P014902) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-27997) |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2021-02-08 |
Last Update Date | 2022-05-04 |