| NPI | 1689213803 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001980) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2024-03-11 |