NPI | 1811056229 |
---|---|
Professional Name | CARLA MARIE ENOS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 04543) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY LCSW- 382) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2007-07-08 |