| NPI | 1841481645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: LA 5869) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0000729) |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0012302) | |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2023-03-29 |