| NPI | 1528107935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPC 4453) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACC 6430) |
| 101YM0800X Counselor Mental Health (Licence: CO LPC 4453) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2016-09-02 |