| NPI | 1417412529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09930940) |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| Enumeration Date | 2019-02-02 |
| Last Update Date | 2024-10-02 |