| NPI | 1124991161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO SW.0009926905) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002920) |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2026-03-30 |