| NPI | 1780224899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002299) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0018655) |
| 163W00000X Registered Nurse (Licence: CO RN.0111647) | |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2023-08-18 |