| NPI | 1871016485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016029) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LPC.0016029) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACB.0008447) | |
| 101YP2500X Counselor, Professional (Licence: CO LPC.0016029) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2020-03-30 |