| NPI | 1659479483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00000848) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 848) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2022-03-15 |