| NPI | 1568002483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926412) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009922247) |
| Enumeration Date | 2020-01-08 |
| Last Update Date | 2020-01-08 |