| NPI | 1639624554 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09926658) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-08-20 |
| Last Update Date | 2023-07-25 |