NPI | 1043688393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924705) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0007955) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000667) | |
104100000X Social Worker (Licence: CO LSW.0009920666) | |
Enumeration Date | 2015-09-03 |
Last Update Date | 2022-01-21 |