| NPI | 1609299403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.00001120) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA LCS 29167) |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2018-10-12 |