| NPI | 1154861763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925181) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 086327) |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2022-01-11 |