| NPI | 1538858709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO CSW.09929777) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015790) |
| Enumeration Date | 2023-05-03 |
| Last Update Date | 2024-09-25 |