NPI | 1942785480 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO ACD.0001170) |
106H00000X Marriage & Family Therapist (Licence: CO LMFT.0001836) | |
Enumeration Date | 2018-10-01 |
Last Update Date | 2024-02-15 |