| NPI | 1386027761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924783) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009920642) |
| 1041C0700X Social Worker, Clinical (Licence: CO 0009920642) | |
| Enumeration Date | 2015-07-03 |
| Last Update Date | 2019-07-24 |