| NPI | 1104955285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924069) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS26512) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2016-10-17 |