| NPI | 1093145369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 5226) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992439) |
| Enumeration Date | 2013-11-22 |
| Last Update Date | 2014-05-07 |