| NPI | 1144811167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO CSW.0000156) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO CSW.00001656) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.00001656) | |
| Enumeration Date | 2021-02-02 |
| Last Update Date | 2021-02-02 |