| NPI | 1053452201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924278) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2004019098) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000976) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-05-15 |