| NPI | 1245046390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931812) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO SWC.0000000772) |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2025-06-24 |