| NPI | 1386948495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW09923362) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ 13888) |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2013-10-24 |