| NPI | 1609975101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 617) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0000163) |
| 1041C0700X Social Worker Clinical (Licence: MA LICSW127289) | |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2025-02-28 |