| NPI | 1588816359 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09923667) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM I-07274) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2022-07-05 |