| NPI | 1639477300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW2105) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: CO MFT1178) |
| 1041C0700X Social Worker, Clinical (Licence: TX 106795) | |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2023-03-22 |