| NPI | 1366104853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002502) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPCC.0021748) |
| 171M00000X Case Manager/Care Coordinator | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2024-05-31 |