| NPI | 1265097034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 11413) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009922371) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09926860) | |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2021-04-05 |