| NPI | 1134315989 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00991212) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 991212) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2021-03-25 |