| NPI | 1013514272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001621) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009923231) |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2022-09-13 |