| NPI | 1114422136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001430) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009920946) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2022-07-28 |