NPI | 1649619040 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI 3516) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: HI 1738-13) |
Enumeration Date | 2013-06-19 |
Last Update Date | 2013-06-19 |