| NPI | 1962929471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACB.0008114) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009920477) |
| Enumeration Date | 2017-08-25 |
| Last Update Date | 2022-07-21 |