| NPI | 1639383300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924002) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001003) |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker (Licence: CO 886) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-09-03 |