| NPI | 1013524610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09928578) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO SWC.0000000081) |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2022-10-04 |