NPI | 1700158664 |
---|---|
Former Name | DEBORAH VIRGINIA HOOVER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 340002639A) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000651A) |
Enumeration Date | 2012-02-07 |
Last Update Date | 2018-03-30 |