| NPI | 1073161667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926723) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.020460) |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2022-08-09 |