| NPI | 1326449711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO LPC.0012138) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical (Licence: CO LPC.00012138) | |
| 172V00000X Community Health Worker (Licence: CO 30-0135461) | |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2021-05-19 |