| NPI | 1265865588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: CO LPC.0013410) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0001611) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2013-08-11 |
| Last Update Date | 2022-09-30 |