| NPI | 1659009496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00001735) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO CSW.00001735) |
| Enumeration Date | 2022-08-10 |
| Last Update Date | 2022-11-27 |