NPI | 1992200877 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC PO10707) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC PO10707) |
101YM0800X Counselor, Mental Health (Licence: NC PO10707) | |
Enumeration Date | 2018-03-24 |
Last Update Date | 2018-03-24 |