NPI | 1841519568 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN LSW0000004929) |
Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: TN LDC0000001043) |
Enumeration Date | 2010-05-19 |
Last Update Date | 2010-05-19 |