| NPI | 1326441304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MN 5055) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001060) |
| 101Y00000X Counselor (Licence: CO LPC0013634) | |
| Enumeration Date | 2014-10-03 |
| Last Update Date | 2026-01-14 |