| NPI | 1649688599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09923669) |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical (Licence: CO LSW.0000001132) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2022-07-14 |