| NPI | 1619084555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923503) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CO CSW09923503) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2022-07-21 |