| NPI | 1306609904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO LSW.0009925019) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000453) |
| Enumeration Date | 2024-02-05 |
| Last Update Date | 2024-02-05 |