NPI | 1699011155 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 104100000X Social Worker (Licence: GA MSW005780) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA MSW005780) |
Enumeration Date | 2013-01-02 |
Last Update Date | 2013-01-02 |