| NPI | 1801300744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00991177) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: CO 991177) |
| 101YP2500X Counselor, Professional (Licence: CO 00991177) | |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2018-06-07 |