| NPI | 1366068082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09930293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 100864) |
| Enumeration Date | 2020-06-18 |
| Last Update Date | 2024-03-28 |