| NPI | 1215614516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002583) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009925107) |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-10-23 |