| NPI | 1528471166 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW09924407) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO 925) |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2016-08-12 |