| NPI | 1346756616 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925990) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 095833) |
| 1041C0700X Social Worker, Clinical (Licence: NY 088135) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2019-12-05 |