| NPI | 1699148130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923536) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.007825) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |