| NPI | 1487736930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923407) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 16591) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2016-11-10 |