NPI | 1629052675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001751) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 34001751) |
101YM0800X Counselor, Mental Health (Licence: IN 34001751) | |
Enumeration Date | 2005-12-02 |
Last Update Date | 2015-01-23 |