| NPI | 1508357336 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 09929444) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 253033) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2023-10-25 |