NPI | 1285188029 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924828) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009406) |
Enumeration Date | 2016-08-10 |
Last Update Date | 2022-07-21 |