| NPI | 1003342379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925690) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO NLC.0106175) |
| Enumeration Date | 2017-05-05 |
| Last Update Date | 2020-11-02 |