| NPI | 1619083805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW-1547) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM I-04715) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-09-16 |