| NPI | 1720727878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide (Licence: CO NA.00771762) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACA.0008274) |
| Enumeration Date | 2022-05-27 |
| Last Update Date | 2024-03-19 |