| NPI | 1992837579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 992958) |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: CO 0310201) |
| 1041S0200X Social Worker School (Licence: CO 0310201) | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2009-07-06 |