| NPI | 1073069720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017119) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 6423) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional (Licence: CO 0016929) | |
| 106H00000X Marriage & Family Therapist (Licence: CA 113507) | |
| 106H00000X Marriage & Family Therapist (Licence: CO 0013941) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2021-05-05 |