| NPI | 1134865892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002855) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0023300) |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2025-11-06 |