| NPI | 1538526330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931642) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA ASW69777) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2025-07-10 |