| NPI | 1215323555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09924859) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: CO ACD.0000784) |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2019-04-24 |