NPI | 1750788295 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923355) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0007304) |
106H00000X Marriage & Family Therapist (Licence: CO MFT.0001713) | |
Enumeration Date | 2014-11-27 |
Last Update Date | 2024-09-04 |