| NPI | 1043575012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW-1608) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |