| NPI | 1710330303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NY 094997-1) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928289) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2022-05-25 |