| NPI | 1053820126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925819) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1700575) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2024-08-19 |