| NPI | 1891220935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw09927388) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 1914) |
| 133N00000X Nutritionist | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2023-12-23 |