| NPI | 1508357781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 4307C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009921905) |
| 1041C0700X Social Worker, Clinical (Licence: WY LCSW-1113) | |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2020-04-22 |