| NPI | 1871885582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923521) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080421) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2014-08-14 |