| NPI | 1154608297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW09923432) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 952) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2014-02-26 |