| NPI | 1669811741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927773) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 77831) |
| 1041C0700X Social Worker, Clinical (Licence: CA 103504) | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2023-07-07 |