| NPI | 1487077871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924751) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0103857) |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2020-02-18 |