| NPI | 1861516601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926854) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 113939) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2021-07-23 |