| NPI | 1962827097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.00000685) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CO 685) |
| Enumeration Date | 2014-02-26 |
| Last Update Date | 2022-11-15 |