| NPI | 1629599758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0001073) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO ACB.0008175) |
| 1041C0700X Social Worker Clinical (Licence: CO CSW.09927006) | |
| Enumeration Date | 2017-06-28 |
| Last Update Date | 2023-02-02 |