| NPI | 1528633948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928855) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LSW.0009923036) |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2022-12-28 |