| NPI | 1639544661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925837) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 7481) |
| Enumeration Date | 2015-12-02 |
| Last Update Date | 2019-03-13 |