NPI | 1841826880 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0017308) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001398) |
106H00000X Marriage & Family Therapist (Licence: CO MFTC.0014439) | |
Enumeration Date | 2020-03-22 |
Last Update Date | 2025-07-03 |