| NPI | 1619493244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.009925060) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 9920499) |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-11-14 |