| NPI | 1982942447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09923123) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: CO LPC.0012356) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2019-07-23 |