| NPI | 1275860835 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923921) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 99-07-18) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0125511) | |
| 104100000X Social Worker (Licence: AZ 13004) | |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2018-03-17 |