| NPI | 1518293380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002617) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0017546) | |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2024-11-14 |