| NPI | 1669687133 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 076013) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2016-09-08 |