NPI | 1700383205 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013079) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC LCAS-24689) |
1041C0700X Social Worker, Clinical (Licence: NC P012260) | |
Enumeration Date | 2018-04-11 |
Last Update Date | 2020-09-10 |