| NPI | 1568610178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC0005987) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD0001852) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2022-12-02 |