| NPI | 1649311689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.09923538) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-10909) |
| Enumeration Date | 2007-02-11 |
| Last Update Date | 2018-05-15 |