| NPI | 1578713970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923995) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 217623) |
| Enumeration Date | 2008-09-23 |
| Last Update Date | 2016-01-21 |