NPI | 1093964751 |
---|---|
Former Name | JAMI MELINA OLIVAS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926135) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6321) |
Enumeration Date | 2008-09-17 |
Last Update Date | 2019-08-22 |