| NPI | 1083999478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923349) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO NLC-13317) |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2016-11-18 |