| NPI | 1487781951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 113978) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO CSW00001064) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2014-12-04 |