| NPI | 1346674769 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925758) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 10222) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2022-08-08 |