| NPI | 1093843674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09924711) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM I 6352) |
| 1041S0200X Social Worker School (Licence: NM I 6352) | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2017-04-26 |