| NPI | 1316121445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw-346) |
| Additional Taxonomies | 251S00000X (Licence: CO csw-346) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2018-07-19 |