| NPI | 1205310224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020370) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000123) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2024-06-01 |