| NPI | 1215999263 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923701) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW-9221) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2024-05-07 |