| NPI | 1801814744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: CO 992011) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 992011) |
| 261Q00000X Clinic/Center (Licence: CO 992011) | |
| 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CO 992011) | |
| 261QV0200X Clinic/Center, VA (Licence: CO 992011) | |
| 273Y00000X Rehabilitation Unit (Licence: CO 992011) | |
| 282N00000X General Acute Care Hospital (Licence: CO 992011) | |
| 283X00000X Rehabilitation Hospital (Licence: CO 992011) | |
| 314000000X Skilled Nursing Facility (Licence: CO 992011) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2007-07-08 |