| NPI | 1871953570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 133V00000X Dietitian, Registered (Licence: CO 86343340) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0002023) |
| 101YP2500X Counselor, Professional (Licence: CO LPC-0023022) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002023) | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2025-12-04 |