| NPI | 1124953922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002850) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0024468) |
| Enumeration Date | 2026-06-15 |
| Last Update Date | 2026-06-15 |