| NPI | 1205302775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09927931) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW11275) |
| Enumeration Date | 2018-10-22 |
| Last Update Date | 2023-01-05 |