| NPI | 1285015495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC00006710) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: CO ACC00006710) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-03-27 |