| NPI | 1932658507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: CO LPCC.0015664) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YP2500X Counselor Professional (Licence: CO LPC-PENDING) | |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2019-02-18 |