| NPI | 1407593601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACA.0008179) |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2022-05-18 |
| Last Update Date | 2025-03-07 |