| NPI | 1184028250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923857) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009920011) |
| Enumeration Date | 2014-10-17 |
| Last Update Date | 2015-05-19 |