| NPI | 1609308915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0013124) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000961) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC0013124) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-09-11 |