| 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 |