| NPI | 1285816058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09926578) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C006292) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2024-05-15 |