| NPI | 1578930020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924764) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NM x-09035) |
| Enumeration Date | 2015-08-31 |
| Last Update Date | 2017-05-03 |