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 |