| NPI | 1578903811 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927167) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2021-06-08 |