| NPI | 1780130344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925693) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001765) |
| 101YM0800X Counselor, Mental Health (Licence: CO NLC.0107011) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-10-16 |