| NPI | 1376733808 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 992600) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 992600) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2023-11-24 |