| NPI | 1114566098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926392) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 17721) |
| Enumeration Date | 2019-12-25 |
| Last Update Date | 2020-02-24 |