| NPI | 1336874692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09928140) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 28902) |
| Enumeration Date | 2022-07-20 |
| Last Update Date | 2022-07-20 |