| NPI | 1548776917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924995) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 60234) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904013190) | |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2022-10-12 |