NPI | 1790275246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: 76268) |
Enumeration Date | 2018-05-10 |
Last Update Date | 2022-02-07 |