| NPI | 1326423625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001093) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO CSW.09924046) |
| 101YP2500X Counselor, Professional (Licence: CO CSW.09924046) | |
| 104100000X Social Worker (Licence: CO CSW.09924046) | |
| Enumeration Date | 2015-07-28 |
| Last Update Date | 2024-05-07 |