| NPI | 1588797336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09923235) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO 000854) |
| 1041C0700X Social Worker Clinical (Licence: CA 24882) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-06-03 |