| NPI | 1811511827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925107) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.023507) |
| Enumeration Date | 2020-06-05 |
| Last Update Date | 2022-02-02 |