| NPI | 1134608532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001819) |
| 101YM0800X Counselor, Mental Health (Licence: CO CSW.09927949) | |
| Enumeration Date | 2018-08-07 |
| Last Update Date | 2022-03-01 |