| NPI | 1154994119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09930052) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 30080) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2024-04-30 |