| NPI | 1619342763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09924726) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW0009920675) |
| Enumeration Date | 2015-12-01 |
| Last Update Date | 2021-10-25 |