| NPI | 1437522059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923960) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 17230) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |