| NPI | 1104378595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09927332) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: ID LMSW36079) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2022-04-07 |