| NPI | 1609273713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM I07190) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 00991456) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |