| NPI | 1477920395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925804) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 72095453) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2020-02-17 |