| NPI | 1689159998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932071) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker (Licence: CO 0000000863) | |
| 1041C0700X Social Worker, Clinical (Licence: CO SWC.0000000863) | |
| Enumeration Date | 2018-10-02 |
| Last Update Date | 2025-07-31 |