| NPI | 1639410350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO NLC. 0103126) |
| Enumeration Date | 2013-03-05 |
| Last Update Date | 2019-10-07 |