| NPI | 1275914897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09925963) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NY 095061) |
| 1041C0700X Social Worker, Clinical (Licence: AZ 22920) | |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2025-08-18 |