| NPI | 1629375316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0011129) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000263) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2011-02-16 |
| Last Update Date | 2023-11-01 |