NPI | 1861539645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL certificate 2774) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL IL149000455) |
1041C0700X Social Worker, Clinical (Licence: IN N1073075) | |
1041C0700X Social Worker, Clinical (Licence: IN 34000938) | |
Enumeration Date | 2007-01-31 |
Last Update Date | 2007-07-08 |