| NPI | 1194185405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.1598) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC 5655) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC4895) | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2024-06-26 |