| NPI | 1639490980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09928788) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW15955) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2024-06-13 |