| NPI | 1720383961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924952) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NE P-934) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0009921087) | |
| Enumeration Date | 2011-01-19 |
| Last Update Date | 2019-06-11 |