| NPI | 1255672614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09923837) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2013-03-11 |
| Last Update Date | 2018-03-22 |