| NPI | 1093259038 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925720) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009921318) |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2018-12-10 |