| NPI | 1134527104 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928544) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0997977) |
| 101YM0800X Counselor, Mental Health (Licence: CO NLC.0103393) | |
| 101YM0800X Counselor, Mental Health (Licence: CO CSW.09928544) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2022-10-18 |