| NPI | 1134414980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926455) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical (Licence: WA 61005024) | |
| 1041C0700X Social Worker, Clinical (Licence: CA 80326) | |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2022-12-22 |