| NPI | 1205045788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 400) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW00000400) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2023-04-06 |