| NPI | 1700290327 | 
|---|---|
| Former Name | CARINA BOTTERBUSCH | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010301) | 
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 21013) | 
| Enumeration Date | 2014-06-12 | 
| Last Update Date | 2023-01-12 |