| NPI | 1568730752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923230) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 989) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2013-06-13 |