| NPI | 1861717191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO 1436) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00001436) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2021-06-11 |