| NPI | 1417061649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924648) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 50148) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-03-17 |