| NPI | 1205200169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5856C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 253447) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928844) | |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2024-09-13 |