| NPI | 1588904841 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09923853) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008137) |
| Enumeration Date | 2013-02-25 |
| Last Update Date | 2019-12-10 |