| NPI | 1326087420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: UT 5374803-3501) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-02-12 |