| NPI | 1164133179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002249) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009924318) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2023-12-21 |