NPI | 1679278626 |
---|---|
Former Name | KAREN SORENSEN |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO SWC.0000001428) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002620) |
Enumeration Date | 2023-03-31 |
Last Update Date | 2024-10-31 |