| 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 |