NPI | 1669824942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 4887) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: KS 677) |
Enumeration Date | 2016-07-11 |
Last Update Date | 2019-03-13 |