| NPI | 1891220935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW09927388) |
| Additional Taxonomies | 133N00000X Nutritionist |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO LAC1914) | |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2024-09-27 |