NPI | 1902236672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924532) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-19197) |
Enumeration Date | 2013-11-17 |
Last Update Date | 2022-10-24 |