| NPI | 1215514864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09926614) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: CO 339108) |
| Enumeration Date | 2021-03-28 |
| Last Update Date | 2021-03-28 |