NPI | 1558763144 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW9924593) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD0000798) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2014-09-25 |
Last Update Date | 2023-03-31 |