| NPI | 1306262480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM X-11216) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW00000606) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2020-05-31 |