| NPI | 1598030447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 7456923-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW-1348) |
| Enumeration Date | 2012-03-11 |
| Last Update Date | 2014-09-16 |