| NPI | 1538424478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927200) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW 30956) |
| 104100000X Social Worker (Licence: CO LSW.0009922458) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2021-05-06 |