| NPI | 1033581061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012967) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7141) |
| 101YM0800X Counselor, Mental Health (Licence: CO 1345) | |
| Enumeration Date | 2015-10-29 |
| Last Update Date | 2017-03-03 |