| NPI | 1891254256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO SWC.0000000120) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0108635) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2022-10-24 |