| NPI | 1487863445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 992343) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO 590) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2021-06-10 |