NPI | 1821516634 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05546) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 00806) |
1041C0700X Social Worker, Clinical (Licence: MO 2022032276) | |
Enumeration Date | 2017-08-31 |
Last Update Date | 2023-11-14 |