| NPI | 1720335706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923749) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2021-09-14 |