| NPI | 1811046410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 751) |
| Additional Taxonomies | 103TC1900X Psychologist Counseling (Licence: CO 751) |
| 104100000X Social Worker (Licence: CO 95) | |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2023-08-14 |