NPI | 1902108079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926232) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-11-23 |
Last Update Date | 2021-01-05 |