| NPI | 1497261473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926817) |
| Additional Taxonomies | 104100000X Social Worker (Licence: FL Isw12172) |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2021-11-14 |