| NPI | 1851688329 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO CSW00991552) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 7291) |
| 1041C0700X Social Worker, Clinical (Licence: CO 00991552) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2018-04-18 |