| NPI | 1194054478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923072) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 216131) |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2017-02-11 |