| NPI | 1093260853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L13626) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927055) |
| 1041S0200X Social Worker, School (Licence: CO 24409726) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2022-11-08 |