NPI | 1467984963 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0019079) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008443) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001543) | |
101YM0800X Counselor, Mental Health | |
101YP2500X Counselor, Professional (Licence: CO LPCC.0017784) | |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2017-04-03 |
Last Update Date | 2024-04-08 |