| NPI | 1326195975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4215) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6450) |
| 106H00000X Marriage & Family Therapist (Licence: CO 764) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2024-05-26 |