| NPI | 1205303708 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 0626132) |
| 1041C0700X Social Worker, Clinical (Licence: NY 095555) | |
| Enumeration Date | 2018-11-01 |
| Last Update Date | 2022-02-16 |