| NPI | 1982129334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927853) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 222897) |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2021-11-15 |