| NPI | 1477170504 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09928445) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0001994) |
| 104100000X Social Worker (Licence: CO LSW.0009923040) | |
| Enumeration Date | 2020-07-06 |
| Last Update Date | 2022-10-21 |