| NPI | 1861807265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACC0007015) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CO CSW00000287) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2022-07-21 |