| NPI | 1306241054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 55252) |
| Enumeration Date | 2014-10-23 |
| Last Update Date | 2019-10-30 |