| NPI | 1043590433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923561) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 0009920052) |
| Enumeration Date | 2011-08-17 |
| Last Update Date | 2014-07-10 |