| NPI | 1235606211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09926038) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 15792) |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2019-09-24 |