NPI | 1740609866 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923379) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080951-1) |
Enumeration Date | 2014-04-16 |
Last Update Date | 2019-04-16 |