| NPI | 1134697741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09927220) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-11-13 |
| Last Update Date | 2021-04-07 |