| NPI | 1831498732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 20802) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 0014244) |
| Enumeration Date | 2011-03-18 |
| Last Update Date | 2024-09-19 |