| NPI | 1538463906 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO CSW.00001987) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC-6777) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0006777) | |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2014-07-22 |