NPI | 1598284671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925675) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0998448) |
104100000X Social Worker (Licence: CO CSW.09925675) | |
Enumeration Date | 2017-09-11 |
Last Update Date | 2025-04-08 |