| NPI | 1093855090 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 992853) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCSW71932) |
| 103TC1900X Psychologist Counseling | |
| 103T00000X Psychologist | |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2017-03-20 |