| NPI | 1780842070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO CSW.00000807) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACC.0997119) |
| 1041C0700X Social Worker Clinical (Licence: CO 807) | |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2022-06-03 |