| NPI | 1265688444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 962) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: CO 962) |
| Enumeration Date | 2008-08-07 |
| Last Update Date | 2008-08-07 |