| NPI | 1013343748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000308) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-09-26 |
| Last Update Date | 2022-07-21 |