| NPI | 1083855985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: KY 4482) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 0009920335) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO LSW.0009920335) | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2009-03-23 |
| Last Update Date | 2019-09-23 |