| NPI | 1871159277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09929756) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2024-05-01 |