| NPI | 1447710934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 17678) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09925954) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-06-27 |