NPI | 1750472841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 2871) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW 6803) |
Enumeration Date | 2006-09-27 |
Last Update Date | 2018-04-27 |