| NPI | 1114652021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO SWC.0000000894) |
| 101YM0800X Counselor, Mental Health (Licence: CO 09930795) | |
| Enumeration Date | 2022-07-24 |
| Last Update Date | 2025-01-15 |