| NPI | 1578973103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.0992735Q) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2009026569) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149013038) | |
| 1041C0700X Social Worker, Clinical (Licence: MD 16663) | |
| Enumeration Date | 2014-05-05 |
| Last Update Date | 2022-01-11 |