| NPI | 1861911315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016022) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001403) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0007696) | |
| Enumeration Date | 2017-09-15 |
| Last Update Date | 2024-08-20 |