| NPI | 1619413739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925585) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001812) |
| 104100000X Social Worker (Licence: CO LSW.0009921367) | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2022-04-20 |