| NPI | 1194939686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0003600) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACC.0996233) |
| 101YM0800X Counselor Mental Health (Licence: CO 3600) | |
| 101YP2500X Counselor Professional (Licence: CO 3600) | |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2022-04-15 |