| NPI | 1396407862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002209) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO SWC0000000181) |
| Enumeration Date | 2021-10-12 |
| Last Update Date | 2023-04-10 |