| NPI | 1578034930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09927721) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013017) |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2021-10-26 |