NPI | 1184232027 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001561) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO mftc.0013929) |
Enumeration Date | 2020-07-16 |
Last Update Date | 2023-06-29 |