| NPI | 1528756285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002642) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO SWC.0000001145) |
| Enumeration Date | 2023-04-28 |
| Last Update Date | 2024-12-18 |