| NPI | 1427525864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO LSW0009923007) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NCL0108905) |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2021-04-26 |