| NPI | 1891000444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 080311) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2021-10-06 |