| NPI | 1114529294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016845) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPC.0016845) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001568) | |
| Enumeration Date | 2020-11-12 |
| Last Update Date | 2024-08-21 |