| NPI | 1023595139 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928818) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1800855) |
| Enumeration Date | 2018-07-20 |
| Last Update Date | 2023-08-28 |