| NPI | 1750044814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0018816) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ADDC.0000095) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0017924) | |
| Enumeration Date | 2021-10-15 |
| Last Update Date | 2024-09-05 |