| NPI | 1316602345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018905) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000031) |
| 101YP2500X Counselor, Professional (Licence: CO LPCC.0018019) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0018905) | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-08-01 |