| NPI | 1396085171 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923185) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 50127) |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2020-07-22 |