| NPI | 1083131874 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926193) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 0009921275) |
| Enumeration Date | 2017-08-23 |
| Last Update Date | 2019-09-23 |