| NPI | 1861135501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002566) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0022434) |
| Enumeration Date | 2022-04-20 |
| Last Update Date | 2024-08-05 |