NPI | 1962140467 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09932028) |
Additional Taxonomies | 101Y00000X Counselor |
Enumeration Date | 2022-05-24 |
Last Update Date | 2025-07-23 |