| NPI | 1700123783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002497) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO SWC.0000001170) |
| 376K00000X Nurse's Aide (Licence: CO 700713) | |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2024-12-05 |