| NPI | 1730517830 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924796) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 5138) |
| 1041C0700X Social Worker, Clinical (Licence: MO 2003017266) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2020-03-10 |