| NPI | 1154923514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928757) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LSW.0009923221) |
| Enumeration Date | 2020-11-11 |
| Last Update Date | 2024-01-22 |