| NPI | 1568784171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09923272) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC50078395) |
| 1041C0700X Social Worker, Clinical (Licence: MD 15730) | |
| Enumeration Date | 2010-02-23 |
| Last Update Date | 2015-10-14 |