| NPI | 1265722151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09926370) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 19676) |
| 1041C0700X Social Worker, Clinical (Licence: UT 4918379-3501) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2023-05-19 |