| NPI | 1174876296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11390) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928770) | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2024-10-09 |