NPI | 1750737573 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 123924) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NY 100546) |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-11 |
Last Update Date | 2022-10-23 |