| NPI | 1205112794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 9923216) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW-804) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2016-02-15 |