| NPI | 1356084255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO csw.00991628) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 18376) |
| Enumeration Date | 2022-04-18 |
| Last Update Date | 2022-04-18 |