NPI | 1558027086 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929794) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2021-11-09 |
Last Update Date | 2024-04-24 |