NPI | 1861191462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 104100000X Social Worker (Licence: IA 118761) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IA t23020) |
Enumeration Date | 2023-03-02 |
Last Update Date | 2024-09-19 |