| NPI | 1356617740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924428) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 1001) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2023-12-18 |