| NPI | 1396087292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923481) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 947) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 675) | |
| Enumeration Date | 2013-03-19 |
| Last Update Date | 2016-07-06 |