| NPI | 1376043216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09928330) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 100647-1) |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2023-12-29 |