| NPI | 1164769014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923663) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008586) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0998586) | |
| Enumeration Date | 2013-01-12 |
| Last Update Date | 2021-05-17 |