| NPI | 1083922231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1831) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 752252) |
| Enumeration Date | 2010-09-22 |
| Last Update Date | 2022-09-06 |