| NPI | 1033511522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925150) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2020-12-21 |