| NPI | 1902374937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0014991) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001544) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACC.0998647) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2020-10-07 |