| NPI | 1285031815 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CO PSYC.00015188) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001013) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2022-12-30 |