| NPI | 1386879872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW2420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 985040) |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2015-09-24 |