| NPI | 1073947420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924184) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000534) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000534) | |
| 104100000X Social Worker (Licence: CO LSW.0009920037) | |
| 1041C0700X Social Worker, Clinical (Licence: CO 3324184) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2021-03-27 |