| NPI | 1063992287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001589) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0008064) |
| Enumeration Date | 2018-08-16 |
| Last Update Date | 2021-04-16 |