| NPI | 1750846192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO NLC.0107062) |
| 104100000X Social Worker (Licence: CO CSW.09928890) | |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2023-01-03 |