NPI | 1336704949 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926378) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 10513) |
1041C0700X Social Worker, Clinical (Licence: NY 084543) | |
1041C0700X Social Worker, Clinical (Licence: CO 1336704949) | |
Enumeration Date | 2019-05-08 |
Last Update Date | 2022-01-25 |