| NPI | 1063019206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929341) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002233) |
| 1041S0200X Social Worker, School (Licence: CO CSW.09929341) | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2024-10-24 |