| NPI | 1487143046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001949) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0019047) |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2023-10-25 |