NPI | 1992011134 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926929) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
104100000X Social Worker (Licence: CO CSW.09926929) | |
253J00000X Foster Care Agency | |
Enumeration Date | 2010-08-25 |
Last Update Date | 2024-09-03 |