| NPI | 1629686548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000064) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0020783) |
| Enumeration Date | 2020-07-16 |
| Last Update Date | 2024-06-25 |