| NPI | 1467984963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.19079) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008443) |
| 171M00000X Case Manager/Care Coordinator | |
| 101YP2500X Counselor, Professional (Licence: CO LPCC.0017784) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001543) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2025-11-17 |