| NPI | 1427457266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC.0013288) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0000758) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2014-08-18 |
| Last Update Date | 2021-06-21 |