| NPI | 1780242602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016919) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008457) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0998457) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.00001651) | |
| 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0015947) | |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2021-02-17 |