| NPI | 1609129816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 00001827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2005017459) |
| Enumeration Date | 2012-10-25 |
| Last Update Date | 2023-12-18 |