| NPI | 1255908729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019539) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 94500) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0021205) | |
| Enumeration Date | 2021-06-04 |
| Last Update Date | 2025-08-13 |