| NPI | 1558737353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924039) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C008416) |
| Enumeration Date | 2015-08-15 |
| Last Update Date | 2015-08-15 |