| NPI | 1558523704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 6534) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 825) |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2016-10-06 |