| NPI | 1194304485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001644) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0013889) |
| Enumeration Date | 2021-04-05 |
| Last Update Date | 2021-09-20 |