| NPI | 1548294515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09925309) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW0174128) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-03-11 |