| NPI | 1114670940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 0000001509) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1316307606) |
| Enumeration Date | 2022-02-01 |
| Last Update Date | 2024-04-18 |