| NPI | 1255602777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012086) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 0146551) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0146561) | |
| 101YP2500X Counselor, Professional (Licence: NM 0146561) | |
| 101Y00000X Counselor (Licence: NM 0146561) | |
| Enumeration Date | 2012-01-13 |
| Last Update Date | 2023-06-28 |