| NPI | 1336423110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00992867) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55647) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2022-01-18 |