| NPI | 1487161824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926556) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2018-01-08 |
| Last Update Date | 2021-10-15 |