| NPI | 1386280865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018282) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 79719) |
| 163W00000X Registered Nurse (Licence: CO RN.1689230) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TX 14292) | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2026-04-22 |