| NPI | 1255704722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.0992760) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008226) |
| 104100000X Social Worker (Licence: CO LSW.0009922572) | |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2023-10-16 |