| NPI | 1235552563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925112) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA SW130989) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2017-10-21 |