| NPI | 1710123617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0000574) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000188) |
| 101YP2500X Counselor, Professional (Licence: CO 574) | |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2022-07-06 |