NPI | 1538530670 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924085) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 16549) |
Enumeration Date | 2015-10-15 |
Last Update Date | 2023-01-11 |