| NPI | 1063063550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928613) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO NLC.0107699) |
| 104100000X Social Worker (Licence: CO LSW.0009922814) | |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2023-11-14 |