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 |