| NPI | 1023790870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924733) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 2377) |
| Enumeration Date | 2023-08-02 |
| Last Update Date | 2023-08-02 |