| NPI | 1376813931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925068) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OH I.1700335) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2020-06-06 |