| NPI | 1053827766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018230) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001838) |
| 106H00000X Marriage & Family Therapist (Licence: CO 13816) | |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2022-04-22 |