NPI | 1972833077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 008283) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080136) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CT 001029) | |
Enumeration Date | 2010-01-12 |
Last Update Date | 2013-12-17 |