| NPI | 1528396116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW 00992540) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 115275) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2016-01-26 |