| NPI | 1578668091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923344) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MN 16114) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2023-04-11 |