| NPI | 1093221004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929437) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OH 161519) |
| 101YM0800X Counselor, Mental Health (Licence: OH S.1903882) | |
| 104100000X Social Worker (Licence: CO CSW.09929437) | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2023-11-09 |