| NPI | 1568747442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924558) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 34385) |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2022-07-21 |