| NPI | 1699108308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925402) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 62476) |
| 1041C0700X Social Worker, Clinical (Licence: CA 76464) | |
| 101YM0800X Counselor, Mental Health (Licence: CA 62476) | |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2023-03-24 |