| NPI | 1659935567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0018258) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008475) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001545) | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2022-06-15 |