| NPI | 1356128656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.00000550) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 550) |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-10-09 |