| NPI | 1386044881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014444) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002010) |
| 101YM0800X Counselor, Mental Health (Licence: CO NLC.0104689) | |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2023-08-09 |