| NPI | 1922473933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926623) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO LSW.0009920867) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2020-04-29 |