| NPI | 1073006219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: UT 13281909-3501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW-09925024) |
| 1041C0700X Social Worker, Clinical (Licence: CO 09925025) | |
| 1041C0700X Social Worker, Clinical (Licence: ID 13281909-3501) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2024-09-17 |