| NPI | 1144356205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 363) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: CO 0303998D) |
| Enumeration Date | 2007-02-25 |
| Last Update Date | 2007-07-08 |