| NPI | 1225919731 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO SWC.0000002669) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009927079) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2026-02-22 |