| NPI | 1669071213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001546) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0026958) |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2022-04-20 |