| NPI | 1750915351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925858) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 087734) |
| Enumeration Date | 2020-02-24 |
| Last Update Date | 2020-02-24 |