NPI | 1649874793 |
---|---|
Other Name | BO TWIGGS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VT 089.0134457) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 151.0134192) |
Enumeration Date | 2020-11-29 |
Last Update Date | 2024-09-18 |