NPI | 1316545635 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930467) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2020-10-09 |
Last Update Date | 2024-05-29 |