| NPI | 1487735387 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09923947) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 2083) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2015-09-21 |