| NPI | 1801241070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002404) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014548) |
| 101YP2500X Counselor, Professional (Licence: CO LPCC.0021374) | |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2026-07-17 |