| NPI | 1366961955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928936) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 23183) |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2023-12-11 |