| NPI | 1043415409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 0750-1885C) |
| 1041C0700X Social Worker, Clinical (Licence: GA 003844) | |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2024-04-01 |