| NPI | 1740849033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931269) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002650) |
| 172A00000X Driver | |
| Enumeration Date | 2019-06-10 |
| Last Update Date | 2025-03-06 |