| NPI | 1083940142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923065) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 5629) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2020-06-03 |