NPI | 1679616197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR 4151) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 00-07-03) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2008-03-31 |