| NPI | 1740514447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 992776) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 992776) |
| 104100000X Social Worker (Licence: MN 19481) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 19481) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2010-07-20 |