| NPI | 1336720440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-09421) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010653) |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924060) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2021-04-20 |