| NPI | 1346092640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002916) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 172A00000X Driver | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2026-02-25 |