| NPI | 1265861496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW13895) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2017-03-31 |