NPI | 1437623204 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017855) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017885) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001827) | |
101YM0800X Counselor, Mental Health (Licence: CO LPCC.0016503) | |
Enumeration Date | 2019-01-15 |
Last Update Date | 2024-10-21 |