NPI | 1457733941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.09925171) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001264) |
1041C0700X Social Worker, Clinical (Licence: ACS.3173) | |
Enumeration Date | 2015-06-22 |
Last Update Date | 2021-09-13 |