| NPI | 1912333162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0006981) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW09924421) |
| Enumeration Date | 2013-09-19 |
| Last Update Date | 2025-03-20 |