| NPI | 1255951653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925193) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 084292-1) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 17841) | |
| Enumeration Date | 2020-04-26 |
| Last Update Date | 2020-04-26 |