| NPI | 1063559813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00989589) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 1041c0700x) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2019-12-05 |