| NPI | 1477085736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 11020) |
| 1041C0700X Social Worker, Clinical (Licence: FL 16399) | |
| Enumeration Date | 2017-03-28 |
| Last Update Date | 2023-04-07 |