| NPI | 1548844699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPCC.0023543) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CO ACA.0008056) |
| Enumeration Date | 2021-05-05 |
| Last Update Date | 2025-06-11 |