| NPI | 1942766308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0016950) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0002412) |
| 101YM0800X Counselor, Mental Health (Licence: CO LPC.0016950) | |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2024-07-17 |