| NPI | 1700667730 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0002737) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009925414) |
| 1041C0700X Social Worker Clinical (Licence: CO SWC.0000001693) | |
| 172A00000X Driver | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2025-05-27 |