NPI | 1932723475 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO LPCC.0022379) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO ACD.0002565) |
Enumeration Date | 2020-06-01 |
Last Update Date | 2024-08-02 |