| NPI | 1700123783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931660) |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: CO 700713) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002497) | |
| 101YM0800X Counselor, Mental Health (Licence: CO SWC.0000001170) | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2025-04-30 |