| NPI | 1356688345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925160) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 150.013545) |
| Enumeration Date | 2013-01-10 |
| Last Update Date | 2018-01-25 |