| NPI | 1033578919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014879) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000959) |
| 101YP2500X Counselor, Professional (Licence: AK 138809) | |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2024-05-15 |