| NPI | 1225673783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926997) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1901898) |
| Enumeration Date | 2019-11-08 |
| Last Update Date | 2021-07-01 |