| NPI | 1669500583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: RI ISW01424) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2017-01-13 |