| NPI | 1386406452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929604) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO CSW.09929604) |
| 101Y00000X Counselor (Licence: CO 09929604) | |
| Enumeration Date | 2024-01-25 |
| Last Update Date | 2024-03-04 |