| NPI | 1285176131 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011517) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930107) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2024-05-03 |