NPI | 1699021030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9287-C) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 487) |
1041C0700X Social Worker, Clinical (Licence: KS 4152) | |
1041C0700X Social Worker, Clinical (Licence: MO 2012026487) | |
Enumeration Date | 2012-08-02 |
Last Update Date | 2023-08-08 |