| NPI | 1023549383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2017013159) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000660) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0013629) | |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2018-05-01 |