| NPI | 1972925543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926391) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2014-01-15 |
| Last Update Date | 2021-02-15 |