| NPI | 1841883840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 61493562) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001659) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0019064) | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2025-06-27 |