| NPI | 1457917346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: CO LPC.0018297) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: CO LPC.0018297) |
| 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACD.0001989) | |
| 101YP2500X Counselor Professional (Licence: CO NLC.0109687) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-07-31 |