| NPI | 1316595051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019153) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002238) |
| 225700000X Massage Therapist (Licence: CO MT.0020571) | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-03-11 |