| NPI | 1750789012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924598) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO NLC.0104852) |
| Enumeration Date | 2014-12-18 |
| Last Update Date | 2021-04-27 |