NPI | 1629706148 |
---|---|
Former Name | CHARLOTTE SCHWARTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24188) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC A17936) |
101YP2500X Counselor, Professional (Licence: NC A17936) | |
Enumeration Date | 2022-08-11 |
Last Update Date | 2022-08-23 |