| NPI | 1083925200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925264) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 4922502-3501) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2019-09-14 |