| NPI | 1275202137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931368) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO LSW.0009924545) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2025-03-29 |