| NPI | 1255684692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW-9923084) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW-243) |
| Enumeration Date | 2012-10-23 |
| Last Update Date | 2017-02-09 |