| NPI | 1972575421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00992687) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CO 992687) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2022-06-01 |