| NPI | 1962902437 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK 154220) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0001301) |
| 1041C0700X Social Worker Clinical (Licence: CO CSW.09926216) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2023-10-04 |