| NPI | 1710371380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923892) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009920035) |
| Enumeration Date | 2015-03-22 |
| Last Update Date | 2021-10-13 |