| NPI | 1568580413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LCSW-993030) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 993030) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2024-02-16 |