NPI | 1740883891 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15097) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015812) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 25548) | |
Enumeration Date | 2020-11-20 |
Last Update Date | 2023-08-03 |