| NPI | 1235760323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0020215) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002829) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0017374) | |
| Enumeration Date | 2020-01-28 |
| Last Update Date | 2026-03-03 |