| NPI | 1497092787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 491) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000297) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6125) | |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2013-01-07 |