| NPI | 1598379638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017822) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001927) |
| 101YM0800X Counselor, Mental Health (Licence: CO 1372510) | |
| Enumeration Date | 2020-09-05 |
| Last Update Date | 2024-05-16 |