| NPI | 1972217743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002913) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009926220) | |
| 1041C0700X Social Worker, Clinical (Licence: CO SWC.0000001982) | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2026-03-02 |