| NPI | 1073138848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 09926701) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 17477) |
| 163WG0000X Registered Nurse General Practice (Licence: CO 1643548) | |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2020-06-08 |