| NPI | 1811333172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923604) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 07111330) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD0000646) | |
| 1041C0700X Social Worker, Clinical (Licence: SD 2989) | |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2020-06-26 |