| NPI | 1265666440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C2975) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR C2975) |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0021596) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0021596) | |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2025-09-05 |