NPI | 1831610021 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927887) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2017-06-28 |
Last Update Date | 2021-12-09 |