| NPI | 1326429903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09923639) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 007790) |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2024-04-10 |