| NPI | 1265004717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929520) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO SWC.0000000379) |
| 101YP2500X Counselor, Professional (Licence: CO CSW09929520) | |
| Enumeration Date | 2021-07-14 |
| Last Update Date | 2025-09-14 |