| NPI | 1164715033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW 09923242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2010022979) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2017-04-10 |