| NPI | 1306454913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928482) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002071) |
| 101YM0800X Counselor, Mental Health (Licence: CO NLC.0104055) | |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2023-02-14 |