| NPI | 1215449582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.09925182) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO LSW.000921750) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2021-06-12 |