| NPI | 1538879671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928750) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 088402) |
| Enumeration Date | 2022-11-30 |
| Last Update Date | 2022-11-30 |