NPI | 1609992221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4479) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 091229) |
104100000X Social Worker | |
Enumeration Date | 2007-03-22 |
Last Update Date | 2024-12-11 |