| NPI | 1750391025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 876355) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 3556 CACIII) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2022-01-06 |