| NPI | 1619429156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO CSW.09925988) |
| Additional Taxonomies | 104100000X Social Worker (Licence: CO LSW.0009921071) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2019-06-06 |