| NPI | 1326411422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924731) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009920224) |
| 104100000X Social Worker (Licence: NY 087645) | |
| Enumeration Date | 2015-11-11 |
| Last Update Date | 2021-08-05 |