| NPI | 1811445539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LCSW.00023896) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15978) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2016-09-12 |