| NPI | 1134428261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924574) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 078908) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2018-02-21 |