| NPI | 1750301438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.00992628) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 992628) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2021-07-13 |