| NPI | 1043817562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: CO LPC.0020260) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002552) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2024-09-04 |