| NPI | 1093261182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 4578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927292) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2022-09-27 |