| NPI | 1215449376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09930719) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 68621) |
| Enumeration Date | 2017-10-30 |
| Last Update Date | 2024-12-11 |