| NPI | 1154712503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924320) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009339) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2023-09-25 |