| NPI | 1437623204 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0017885) |
| Additional Taxonomies | 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 | 2021-12-22 |