| NPI | 1073047783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928823) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125819) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2024-07-03 |