| NPI | 1740655505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACA.0008023) |
| Additional Taxonomies | 172A00000X Driver |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2015-12-04 |
| Last Update Date | 2025-03-06 |