| NPI | 1417054834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 14132) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09926148) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2024-04-05 |