| NPI | 1578187837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09930251) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149-023527) |
| 104100000X Social Worker (Licence: IL 150.104300) | |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2025-01-15 |