| NPI | 1053661389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923321) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ lcsw-12762) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2014-07-01 |