| NPI | 1588098701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924472) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NC p008359) |
| Enumeration Date | 2013-08-23 |
| Last Update Date | 2016-08-24 |