| NPI | 1639915507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002975) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0024327) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2026-05-11 |