| NPI | 1033301494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925495) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2018-09-14 |