| NPI | 1144630427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 00002139) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 1051) |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2014-05-07 |