| NPI | 1710621065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002899) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931376) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2026-04-07 |