| NPI | 1598898819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 428) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 428) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-04-27 |