| NPI | 1336334937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7135) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW1465) |
| 1041C0700X Social Worker, Clinical (Licence: KS LSCSW4612) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2025-09-04 |