| NPI | 1962857516 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09925265) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2021-11-22 |