| NPI | 1548611858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09925882) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW018330) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-08-16 |