| NPI | 1003279027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000587) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009926146) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2025-03-26 |