| NPI | 1083254551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927237) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 000121472) |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2022-06-15 |