| NPI | 1740757723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002751) |
| Additional Taxonomies | 172A00000X Driver |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2025-06-06 |