| NPI | 1598265670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927888) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 6801100860) |
| 104100000X Social Worker (Licence: MI 6801106474) | |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2022-04-15 |