| NPI | 1700916681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 10589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09925306) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925306) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2021-09-06 |