| NPI | 1730618802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CO 1942) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001296) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.000771) | |
| 101YM0800X Counselor, Mental Health (Licence: CO 13811) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2023-06-12 |