| NPI | 1215231030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925263) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15914) |
| Enumeration Date | 2011-01-09 |
| Last Update Date | 2020-08-14 |