| NPI | 1891107603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW00989646) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 1056) |
| Enumeration Date | 2014-05-28 |
| Last Update Date | 2014-05-28 |