| NPI | 1740828680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00992118) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2022-01-26 |