NPI | 1376845701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011950) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0007871) |
101YP2500X Counselor, Professional | |
172V00000X Community Health Worker | |
Enumeration Date | 2010-11-17 |
Last Update Date | 2024-05-01 |