| NPI | 1245667427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c016213) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00002027) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2024-01-09 |