| NPI | 1255872149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925784) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000818) |
| 104100000X Social Worker (Licence: CO 0009921325) | |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2022-03-04 |