| NPI | 1598217945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.09926311) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM x-09776) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2020-10-30 |