| NPI | 1134614142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927240) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2021-09-14 |