| NPI | 1851754097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924915) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 10993) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2018-11-12 |