| NPI | 1336592666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014459) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0020812) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014459) | |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2018-04-03 |