| NPI | 1366066532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09928112) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 092530) |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2022-03-29 |