| NPI | 1609975101 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 617) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW127289) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2024-01-16 |