| NPI | 1396388591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002569) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0021608) |
| 101YM0800X Counselor, Mental Health (Licence: CO MFTC.0014581) | |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2025-07-03 |