| NPI | 1043622806 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LCSW.09925756) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YM0800X Counselor, Mental Health (Licence: CO CSW.09925756) | |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2024-06-26 |