| NPI | 1255789517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925919) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LSW.0009920697) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2019-04-01 |