| NPI | 1114639903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018825) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO ACd.0002162) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ACd.0002162) | |
| Enumeration Date | 2022-12-23 |
| Last Update Date | 2022-12-23 |