| NPI | 1790653129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002847) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO LPCC.0024063) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2026-01-27 |