| NPI | 1326770447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPCC.0017255) |
| Additional Taxonomies | 172A00000X Driver |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002934) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2022-06-28 |
| Last Update Date | 2026-04-22 |