NPI | 1790897007 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1202) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P527) |
101YM0800X Counselor, Mental Health (Licence: NE 3064) | |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-06-13 |