| NPI | 1053892372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014069) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 0000952) |
| 103TC1900X Psychologist, Counseling (Licence: CO 0014069) | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2020-02-27 |