| NPI | 1194765107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00992963) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004551) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-10-09 |