| NPI | 1851434583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923952) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 016969) |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2022-04-13 |