| NPI | 1174908099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924311) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LSW.0009920730) |
| Enumeration Date | 2015-07-21 |
| Last Update Date | 2018-09-13 |