| NPI | 1922885276 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0019888) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002006) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: ACD.0002006) | |
| 101YM0800X Counselor, Mental Health (Licence: CO ACD.0002006) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-09-11 |