| NPI | 1982843694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO LCSW #LT8930) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LCSW LT8930) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2015-12-09 |