| NPI | 1497972277 |
|---|---|
| Former Name | CINDA CAVANAUGH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014548) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000865) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2018-08-14 |