| NPI | 1619428117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925559) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000901) |
| 104100000X Social Worker (Licence: CO 0009921865) | |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-04-04 |