| NPI | 1245491422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0021128) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 164W00000X Licensed Practical Nurse (Licence: CO 0335945) | |
| Enumeration Date | 2008-06-20 |
| Last Update Date | 2023-04-24 |