| NPI | 1285185785 |
|---|---|
| Former Name | LAURA CANDELARIA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09927381) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0002228) |
| 104100000X Social Worker (Licence: CO 0009922632) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-06-26 |