| NPI | 1194289363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926080) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 9921683) |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2024-02-13 |