| NPI | 1497121388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0014044) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000689) |
| 101YM0800X Counselor, Mental Health (Licence: KS LCPC03273) | |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2023-06-14 |