| NPI | 1447572490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 4948) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6927) |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2021-01-11 |