| NPI | 1437628344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09928827) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: LA 12260) |
| 101YM0800X Counselor, Mental Health (Licence: LA 12260) | |
| Enumeration Date | 2018-11-20 |
| Last Update Date | 2024-02-19 |