| NPI | 1326313255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011900) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO NLC-13881) |
| 101YM0800X Counselor, Mental Health (Licence: CO NLC-13881) | |
| Enumeration Date | 2012-03-10 |
| Last Update Date | 2021-04-12 |