| NPI | 1710443700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927954) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009922195) |
| 101YM0800X Counselor, Mental Health (Licence: CO 0009922195) | |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2024-02-13 |