| NPI | 1508365487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928028) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009922933) |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2022-08-11 |