| NPI | 1407951841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09927932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 8651) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2024-01-30 |