| NPI | 1508115593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927150) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008037) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2023-05-03 |