| NPI | 1689112013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CW.09924096) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: TX 50904) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |