| NPI | 1689095929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012439) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0012439) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000652) | |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2021-09-20 |