| NPI | 1710389143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0015862) |
| 101YM0800X Counselor, Mental Health | |
| 225A00000X Music Therapist | |
| Enumeration Date | 2014-09-17 |
| Last Update Date | 2023-11-09 |