NPI | 1043510365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO CSW.00001625) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00001625) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2024-10-31 |