| NPI | 1194116491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 9130-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932075) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 9130) | |
| Enumeration Date | 2015-02-09 |
| Last Update Date | 2025-07-31 |