| NPI | 1235762857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927400) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009922443) |
| 251S00000X | |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2021-09-17 |