| NPI | 1700908852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9929448) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 9922388) |
| 101YM0800X Counselor, Mental Health (Licence: NY 99999999) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2023-08-21 |