| NPI | 1982302212 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002341) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0020335) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2024-07-22 |