| NPI | 1639350176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 986126) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: CO 0387118) |
| Enumeration Date | 2007-11-26 |
| Last Update Date | 2007-11-26 |