| NPI | 1366881211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09924222) |
| Additional Taxonomies | 1041S0200X Social Worker School (Licence: MD 18953) |
| Enumeration Date | 2013-06-24 |
| Last Update Date | 2016-02-29 |