| NPI | 1326519042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09927602) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CO LSW.0009922651) | |
| Enumeration Date | 2018-12-06 |
| Last Update Date | 2021-10-15 |