| NPI | 1790864650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.00992281) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO 992281) |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2019-10-24 |