| NPI | 1356830913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016228) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000004) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016063) | |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2020-10-30 |