| NPI | 1750762613 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KS 05777) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.0009922110) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09925826) | |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2022-08-02 |