| NPI | 1619496551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO CSW.09926430) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MI 6801101797) |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2020-01-23 |