| NPI | 1548801467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002672) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009924879) |
| Enumeration Date | 2019-10-02 |
| Last Update Date | 2025-01-21 |