| NPI | 1407238652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management (Licence: CO ACB0007458) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0997458) |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-10-16 |