| NPI | 1063606267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09924864) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 27422) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2018-08-15 |