| NPI | 1851058523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9926168) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 9921257) |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2021-11-17 |