| NPI | 1518249283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09926573) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 082701) |
| Enumeration Date | 2011-09-19 |
| Last Update Date | 2021-12-16 |