| NPI | 1104698497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002355) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT.0002835) |
| Enumeration Date | 2023-10-30 |
| Last Update Date | 2025-03-17 |